PERMITTEE NAME/ADORESBR~4FrN'ryNaWGerm,on lJDldin
<br />NAME ~ ~ v ~, r) r ~ ~ ~.... .. T .. ~ .:
<br />ADDRESS : - '. F, i 1 F , _ S 7 R' F t ' •.'! M1 ° .
<br />FACILITY
<br />LOGTION
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<br />NATIONAL POLLUTMT OISCHMOE Et1MINATOM SrSTEM INPDESI
<br />DISCHARGE MONITORING REPORT IDMRI
<br />1-f 81 177-191
<br />'JO 1271Sq qn-.
<br />PERMIT NUMBER DISCHMGE NUMBER
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<br />YEAR MO DAY VEAq MO DAV
<br />FgOM '1 TO ""~ .I~ 1"
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<br />Form Approved.
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<br />l32-371
<br />MALrvs TYPE
<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is]-sJ! (5488/ (59-701
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<br />NAME/TITLE PRINCIPAL El(ECUTNE OFFICER I cERTI
<br />AM FA Fr UNDER PENUrY GF uW THAT I HAVE PERSONAUr E1tAMINED AND
<br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
<br /> Mr INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />Richard Milia
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